Hospital Waste Management

WASTE MANAGEMENT
HEALTH CARE WASTES LAW
Information to Medical Office Employees
GENERAL OBJECTIVES
Knowledge of angolan laws about health care wastes

management;
Identification, classification of wastes and proceed to
segregation, storage and delivery complying with the laws;
Identify the waste management operations related with
the final destiny of each waste;
Understand the importance of keeping a organized folder
of registers.
INTRODUCTION
Paper Packing
1 to 4 months
Newspaper
1 to 2 months
Plastic bags and cups
200 a 450 years
Aluminium can
100 to 500 years
Napkin 3 months
Batteries
more than 500 years
Gum 5 years
INTRODUCTION
LAW OF HOSPITAL WASTES
Decreto-Presidencial n. 160/2014, 18 de Junho
.
REGULATION
ON
MEDICAL
WASTE
MANAGEMENT AND HEALTH SERVICES
Aims to establish rules governing the management of medical

waste and health services.
Applies
to Institutions:
Producers of hospital wastes and health services, related to

human health, animal and cientific research.
Home care services, fieldwork, clinical analysis labs, funeral

shops, forensic services, drug stores and pharmacy services,
health schools, acupuncture services and tattoo laboratories.
ARTICLE 3. - DEFINITIONS
Final deposition of wastes in Health Services:
final destiny to give to wastes in prepared soil, acordlingly

with technical criteria and adequate operational.
Chemical Desinfection: chemical treatment. The

wastes are
germicides.
mixed
with
desinfection
solutions
and
Desinfection: process of treatment alternative to

incineration, that permits the destiny of general wastes
for public health e environment.
Transfer Station of Waste Health Services:
unit with exclusive facilities with environmental permit,

to execute transfer of waste generated in the health
7
services.
Body fluids: liquids originating from the bodies of
people or animals: pleural, bile, semen, blood, saliva,

amniotic fluid.
Hospital Waste Management and Health Services:
procedures to minimize the production of waste

generated and to provide a safe destination efficiently
for the protection of workers, protection of public
health, natural resources and the environment.
Operations Medical Waste Treatment and

Health Services: includes incineration, disinfection
(chemical, thermal and microwave) and autoclaving;
Sharps materials or Scarification: objects and
instruments containing corners, edges and sharp
rigid protuberances capable of cutting or perforate;
Radioactive material: any material or substance
which emits ionizing radiation;
Hazardous Biological Waste: waste containing

biological agents, organisms and fragments with
genetic information and that represent potential
risk to human health and to environment in
general.
Segregation: separation of waste at the time and
place where they are produced, according to the
physical, chemical, biological, physical condition
and the risks involved.
10
Leftover samples: remnants of blood, feces,

urine, sweat, tears, milk, colostrum, sperm, saliva,
nasal, vaginal and penis secretions, hair and nails
that remain in the collection tube after removal of
the material needed to conduct a research.
Self Clave Sterilization: physical treatment of
contaminated hospital waste to eliminate or
reduce to levels not harmful potential pathogens,
by contacting the material with water vapor at
high temperatures through circles of compression
and decompression.
11
ARTICLE 4. - CLASSIFICATION OF MEDICAL

WASTES
GROUP A General Wastes

GROUP B Infectious Wastes
GROUP C Sharps and Scarification Wastes
GROUP D Chemical Wastes
GROUP E Radioactive Wastes
(ver anexo I)
12
ARTICLE 4. - MEDICAL WASTES CLASSIFICATION

GROUP A General Wastes:
Are those who have no biological, chemical or
radiological health or environmental risk, and may be
treated as municipal waste.
Examples:
Use toilet paper, diapers, sanitary napkins, disposable garments,
material used in antisepsis, serum and other similar equipment are
not included in Group B. Transfused bags and empty common food
scraps and preparation of food.
13

GROUP B Infectious Wastes
Are residues with possible presence of biological agents
by their characteristics higher virulence or high
pathogens concentration such as (bacteria, viruses,
parasites and fungi) may present a risk of infection
when on display.
14

GROUP C Sharps and Scarification Wastes
All sharp or pointed tools that can cut or prick who
handles such as: any type of needle, scalps, razors,
scalpels, scalps, glass ampoules, drills, files, diamond
tips, spatulas, capillaries, micropipettes, broken glass
of utensils, blood collection tubes and petri dishes and
other similar.
15

GROUP D Chemical Wastes
Are those that contain chemicals substances that
represent risks to public health or the
environment.
GROUP E Radioactive Wastes

Radioactive or contaminated with radionuclides
from clinics laboratories, nuclear medicine and
radiation therapy services, leftover materials
contaminated with radioactive materials that
result from the use of radiotherapy and radiology
equipment.
16
ARTICLE 6. - RESPONSABILITY
Wastes production units are responsible for the final

disposal of medical waste and health services until sending
them to licensed treatment units.
Each health unit that produces waste must develop a plan
for medical waste management and health services, before
the beginning of its activity.
The plan must be submitted to the Ministries of
Environment and Health for the purpose of advice and
consent.
Should be available a copy of Medical Wastes Plan on
medical facilities for autorities inspections.
17
ARTICLE 6. - RESPONSABILITY
The plan must meet the technical criteria,

environmental legislation, standards for collection
and transportation of local urban cleaning services,
as well as the rules and guidelines contained in
other legislation.
Producing units can shift responsibility for medical
waste management and health services companies
duly licensed to do so, by a written contract.
The producing units should available the
equipment appropriated for sort, collection and
temporary storage of medical wastes.
18
ARTICLE 7. SORTING
Medical wastes must be sorted at the palces

where are produced, and should be done
according its hazardous characteristics and class.
Liquids effluents before sent to sewage should be
seen if respect environmental laws and sewage
treatment plan rules.
19
ARTICLE 8. SEGREGATION
Medical wastes
20
A transferncia de responsabilidade de gesto dos

resduos hospitalares e de servios de sade para
as empresas de gesto objecto de contrato
escrito.
21
WASTE MANAGEMENT OPERATIONS

Best solution
Prevention and
Reduction
Prevention of quantity
and variety of wastes
Prevention of wastess
harmfulness
Preparation for
Reuse
Recycling
Other types of
valorization
Elimination
Worst solution
Organic Composting
Incineration with energy
recovery
Co-incineration
Landfill
Incineration
22

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WASTE MANAGEMENT

HEALTH CARE WASTES LAW

Information to Medical Office Employees

Knowledge of angolan laws about health care wastes

Aims to establish rules governing the management of medical

Producers of hospital wastes and health services, related to

Home care services, fieldwork, clinical analysis labs, funeral

Final deposition of wastes in Health Services:

final destiny to give to wastes in prepared soil, acordlingly

Chemical Desinfection: chemical treatment. The

Desinfection: process of treatment alternative to

Transfer Station of Waste Health Services:

unit with exclusive facilities with environmental permit,

Body fluids: liquids originating from the bodies of

people or animals: pleural, bile, semen, blood, saliva,

Hospital Waste Management and Health Services:

procedures to minimize the production of waste

Operations Medical Waste Treatment and

which emits ionizing radiation;

Hazardous Biological Waste: waste containing

Leftover samples: remnants of blood, feces,

ARTICLE 4. - CLASSIFICATION OF MEDICAL

GROUP A General Wastes

ARTICLE 4. - MEDICAL WASTES CLASSIFICATION

ARTICLE 4. - MEDICAL WASTES CLASSIFICATION

ARTICLE 4. - MEDICAL WASTES CLASSIFICATION

ARTICLE 4. - MEDICAL WASTES CLASSIFICATION

GROUP E Radioactive Wastes

Wastes production units are responsible for the final

The plan must meet the technical criteria,

Medical wastes must be sorted at the palces

A transferncia de responsabilidade de gesto dos

WASTE MANAGEMENT OPERATIONS

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